<extend name="Public/base"/>

<block name="body">
    <div class="main-title">
        <h2>用户手动充值</h2>
    </div>
    <form action="{:U()}" method="post" class="form-horizontal">
      
      <div class="form-item">
            <label class="item-label">用户账户名<span class="check-tips">（请填写用户账户的名称）</span></label>
            <div class="controls">
                <input type="text" class="text input-large" name="username" value="">
            </div>
           
	</div>
       <h2>新增充值的信息</h2>
        <hr/>
          <div class="form-item">
            <label class="item-label">资金的存放的银行名称<span class="check-tips">（资金的存放的银行名称）</span></label>
            <div class="controls">
                    <select name="bid">
                        <foreach name="banklist" item="vo" >                            
                               <option value="{$vo.id}" <if condition="$vo.id eq $wdata.id ">selected</if>>[{$vo.mold|get_bank_moldname}] {$vo.name}</option>
                        </foreach>     
                    </select>
            </div>
        </div>
        <div class="form-item">
            <label class="item-label">充值金额<span class="check-tips">（需要充值的金额）</span></label>
            <div class="controls">
                <input type="text" class="text input-large" name="money" value="">
            </div>
        </div>
        <div class="form-item">
            <label class="item-label">充值备注<span class="check-tips">（充值备注）</span></label>
            <div class="controls">
                <label class="textarea input-large">
                    <textarea name="remark"></textarea>
                </label>
            </div>
        </div>
        <div class="form-item">
            <button class="btn submit-btn ajax-post" id="submit" type="submit" target-form="form-horizontal">确 定</button>
            <button class="btn btn-return" onclick="javascript:history.back(-1);return false;">返 回</button>
        </div>
    </form>
</block>

<block name="script">
    <script type="text/javascript">
        //导航高亮
        highlight_subnav('{:U('Finance/rechargelist?r=19')}');
    </script>
</block>
